Active NPI
Lentejas Dental Corporation
Doing business as Discovery Dental Office
- General Practice Dentistry
- Moreno Valley, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 46098
- Legal business name
- LENTEJAS DENTAL CORPORATION
- Doing business as
- Discovery Dental Office
- Practice address
- 14114 Business Center Dr
Suite C
Moreno Valley, CA 92553-9113 - Phone
- (951) 653-2100
- Fax
- (951) 653-5224
- NPI assigned
- Jul 13, 2007
- Last updated
- Jan 8, 2016
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Juliet P Lentejas, DMD
- Title
- President
- Phone
- (951) 653-2100
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 46098 | CA | Primary |
Addresses
Primary practice location
14114 Business Center Dr
Suite C
Moreno Valley, CA 92553-9113
Mailing address
14114 Business Center Dr
Suite C
Moreno Valley, CA 92553-9113
Phone (951) 653-2100
Other names 1
- Discovery Dental Office
National Provider Directory
National Provider Directory- Tax ID family
- Discovery Dental Group
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
Locations
14114 Business Center Dr
Ste C
Moreno Valley, CA 92553
Phone (951) 653-2100
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- General Practice Dentistry
- Moreno Valley, CA
- NPI 1972680601
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1184284800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1452211200000",
"number": "1336348838",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14114 BUSINESS CENTER DR",
"address_2": "SUITE C",
"city": "MORENO VALLEY",
"state": "CA",
"postal_code": "925539113",
"telephone_number": "951-653-2100",
"fax_number": "951-977-4104"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14114 BUSINESS CENTER DR",
"address_2": "SUITE C",
"city": "MORENO VALLEY",
"state": "CA",
"postal_code": "925539113",
"telephone_number": "951-653-2100",
"fax_number": "951-653-5224"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LENTEJAS DENTAL CORPORATION",
"organizational_subpart": "NO",
"enumeration_date": "2007-07-13",
"last_updated": "2016-01-08",
"status": "A",
"authorized_official_last_name": "LENTEJAS",
"authorized_official_first_name": "JULIET",
"authorized_official_middle_name": "P",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "951-653-2100",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DMD"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "CA",
"license": "46098",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Discovery Dental Office",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Moreno Valley, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.